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Updated: Jun 27, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Congenital bilateral eversion of the eyelids
Michaeline A Isawumi1, Caroline O Adeoti, Ismaila O Umar
1Department of Ophthalmology, Ladoke Akintola University of Technology Teaching Hospital, Osogbo, Osun State, Nigeria.
Abstract:
The authors report a case of congenital bilateral eversion of the eyelids with secondary conjunctival prolapse in a 4-hour-old neonate. Conservative treatment with hypertonic normal saline, lubricants, antibiotics, and padding was instituted. No surgery was performed. Complete eye opening was achieved by the 10th day after birth. Medical management is advantageous in that it is inexpensive, noninvasive, and can be performed even in a center with poor surgical facilities, as is commonly encountered in developing countries. The sociopsychological aspect of the disease, possible pathophysiology, and treatment are discussed.
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